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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
'No going back' to institutional care for people with severe disability: reflections on practice through an
Sally Borbasi1, Verity Bottroff, R P Williams
1School of Nursing and Midwifery, Griffith University, Brisbane, Australia. s.borbasi@griffith.edu.au
Purpose:
This paper evaluated quality of life for people with a disability with high health and high support needs following a move from a congregate care institution to community housing. The study explored residents' perceptions of the service, level of community involvement, lifestyle choices, and input into decision-making.
Method:
An exploratory interpretative study was conducted using semi structured interviews with nine community house residents, ten community house staff and five family members.
Results:
Participants were clear they definitely would not go back to the institution, but the relocation experience was not without difficulties. These issues related to 'site', 'staff' & 'skills'.
Conclusions:
Direct support staff hold considerable power to increase or diminish residents' quality of life. A targeted programme addressing specific site, staff & skill issues would strengthen quality of life for these very dependent residents.
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